Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2018
|
| Subjects: | |
| Online Access: | https://www.redalyc.org/articulo.oa?id=398955542006 https://www.redalyc.org/journal/3989/398955542006/ https://www.redalyc.org/journal/3989/398955542006/html/ https://www.redalyc.org/journal/3989/398955542006/398955542006.epub https://www.redalyc.org/journal/3989/398955542006/movil |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Table of Contents:
- Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms Ugur Kaya Abdurrahim Çolak Necip Becit Munacettin Ceviz Hikmet Kocak Medicina Surgery Methods Heart Aneurysm Heart Ventricles Coronary Artery Bypass Objective: The aim of this study was to evaluate early clinical outcomes and echocardiographic measurements of the left ventricle in patients who underwent left ventricular aneurysm repair using two different techniques associated to myocardial revascularization.Methods: Eighty-nine patients (74 males, 15 females; mean age 58±8.4 years; range: 41 to 80 years) underwent post-infarction left ventricular aneurysm repair and myocardial revascularization performed between 1996 and 2016. Ventricular reconstruction was performed using endoventricular circular patch plasty (Dor procedure) (n=48; group A) or linear repair technique (n=41; group B).Results: Multi-vessel disease in 55 (61.7%) and isolated left anterior descending (LAD) disease in 34 (38.2%) patients were identified. Five (5.6%) patients underwent aneurysmectomy alone, while the remaining 84 (94.3%) patients had aneurysmectomy with bypass. The mean number of grafts per patient was 2.1±1.2 with the Dor procedure and 2.9±1.3 with the linear repair technique. In-hospital mortality occurred in 4.1% and 7.3% in group A and group B, respectively (P>0.05).Conclusion: The results of our study demonstrate that post-infarction left ventricular aneurysm repair can be performed with both techniques with acceptable surgical risk and with satisfactory hemodynamic improvement. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398955542006 https://www.redalyc.org/journal/3989/398955542006/ https://www.redalyc.org/journal/3989/398955542006/html/ https://www.redalyc.org/journal/3989/398955542006/398955542006.epub https://www.redalyc.org/journal/3989/398955542006/movil 10.21470/1678-9741-2017-0093 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.33